JAMES EDWARD OHLIGER III MD
NPI 1306291885
Orthopaedic Surgery - Sports Medicine in Sheffield, OH
About James Edward Ohliger Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES EDWARD OHLIGER III MD (NPI 1306291885) is an individual sports medicine provider in Sheffield, Ohio, licensed in Ohio (35.139277) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Uh St John Medical Center, and maintains a secondary practice location in Akron.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
James Edward Ohliger Iii Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show James Ohliger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sheffield Village, OH 44054
- Reassigned Medicare billing, Ohio enrollment
- 1,437 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 18
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uh St John Medical Center
Acute Care Hospitals · Westlake, OHUh Cleveland Medical Center
Acute Care Hospitals · Cleveland, OHUniversity Hospitals - Elyria Medical Center
Acute Care Hospitals · Elyria, OHMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHEFFIELD VILLAGE, OH 44054
SHEFFIELD VILLAGE, OH 44054
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is James Ohliger's NPI number?
The NPI number for James Ohliger is 1306291885. It was assigned to this individual provider in the NPPES registry on May 3, 2016.
Where is James Ohliger located?
James Ohliger practices at 5001 Transportation Dr Orthopaedic Clinic, Sheffield, OH 44054. The listed phone number is (440) 329-2800.
What is James Ohliger's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.
Is James Ohliger enrolled in Medicare?
Yes. James Ohliger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for James Ohliger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Ohliger reassigns Medicare benefits to University Primary Care Practices Inc (Sheffield Village, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Ohliger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Ohliger accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list James Ohliger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is James Ohliger affiliated with any hospitals?
According to CMS data, James Ohliger is affiliated with Uh St John Medical Center, Uh Cleveland Medical Center and University Hospitals - Elyria Medical Center.
When was this NPI record last updated?
The NPPES record for James Ohliger was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.